Organization Active NPI

Westosha Family Chiropractic LLC

  • Nutrition Chiropractor
  • Salem, WI
National Provider Identifier
1053615138
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
WESTOSHA FAMILY CHIROPRACTIC LLC
Practice address
24706 75TH St
Suite 200
Salem, WI 53168-9704
Phone
(262) 843-1939
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Toby Hawkes, D.C.NPI 1003973108
Title
Chiropractor/Owner
Phone
(262) 843-1939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

24706 75TH St
Suite 200
Salem, WI 53168-9704

Mailing address

24706 75TH St
Suite 200
Salem, WI 53168-9704
Phone (262) 843-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000255 WI Part B Supplier - Clinic/Group Practice 8820274574 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, WI

National Provider Directory

National Provider Directory

Locations

24706 75th St
Ste 200
Salem, WI 53168
Phone (262) 843-1939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1053615138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24706 75TH ST",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689704",
            "telephone_number": "262-843-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24706 75TH ST",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689704",
            "telephone_number": "262-843-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTOSHA FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "HAWKES",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "262-843-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.